Robotic intersphincteric resection + right seminal vesicle excision + right vascular approach - DA vinci XI robotic system - video vignette.

Annually, about 5-10% cases of newly diagnosed rectal cancer are locally advanced (T4). An R-0 resection is the single most predictor of outcome. This has been made possible by surgical resection beyond the regular TME (Total Mesorectal Excision) plane, also known as extended rectal resection which involves removal of the total mesorectum along with en bloc resection of involved pelvic structures. Long-term 5-year survival rates in locally advanced cases vary between 30-50% . This article is protected by copyright. All rights reserved.